NPI | 1861715773 |
---|---|
Other Name | GULF COAST INDUSTRIES |
Entity Type | Organization |
Authorized Contact | DEBORA J STANOVICH Credentials Specialist 228-863-1132 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MS r13-1) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2019-10-21 |